Fire Hydrant Inspection Test Checklist

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The document is an inspection checklist for fire hydrant systems in a building with multiple floors.

The checklist is inspecting the fire hydrant, sprinkler, and indoor hydrant systems. It lists components that need to be checked like pipes, valves, alarms, and ensures they are functioning properly.

On each floor, items like Flushing pipes, Gate Valves, Hydrant boxes/hoses/nozzles, Flow switches, and Branch valves need to be checked.

Fire Hydrant Inspection Test Checklist

Nama proyek
(Lanjutan)

: Pengadaan Konstruksi Pembangunan Gedung Pasca Sarjana

Lokasi

: Jl.Rawamangun Muka, Jakarta Timur

NO
1

ITEM
Pipa riser
Fungsi PRV
Alarm gong dan
kelengkapan
Fire Hydrant
Flushing pipa
Fungsi Gate Valve dan
kelengkapan
Sprinkler
Flushing pipa
Fungsi Flow switch
Fungsi Branch valve
Fungsi Gate Valve dan
kelengkapan

Hydrant Site
Hydrant box, hose +
nozzle
Fungsi Hydrant pilar
Fungsi Seamese
connection

Indoor Hydrant
System
Lantai 1
Flushing pipa
Gate Valve dan
kelengkapan
Hydrant box, hose +
nozzle

Lantai 2
Flushing pipa
Gate Valve dan
kelengkapan
Hydrant box, hose +
nozzle

Lantai 3
Flushing pipa

STATUS
YE
NO N/A
S

COMMENT

Gate Valve dan


kelengkapan
Hydrant box, hose +
nozzle

Lantai 4
Flushing pipa
Gate Valve dan
kelengkapan
Hydrant box, hose +
nozzle

Lantai 5
Flushing pipa
Gate Valve dan
kelengkapan
Hydrant box, hose +
nozzle

Lantai 6

Flushing pipa
Gate Valve dan
kelengkapan
Hydrant box, hose +
nozzle

Lantai 7
Flushing pipa
Gate Valve dan
kelengkapan
Hydrant box, hose +
nozzle

Lantai 8
Flushing pipa
Gate Valve dan
kelengkapan
Hydrant box, hose +
nozzle

Lantai Atap
Flushing pipa
Gate Valve dan
kelengkapan
Hydrant box, hose +
nozzle

Sprinkler System
Lantai 1
Flushing pipa
Gate Valve dan
kelengkapan
Flow switch
Branch valve

Lantai 2

Flushing pipa
Gate Valve dan
kelengkapan
Flow switch
Branch valve

Lantai 3
Flushing pipa
Gate Valve dan
kelengkapan
Flow switch
Branch valve

Lantai 4
Flushing pipa
Gate Valve dan
kelengkapan
Flow switch
Branch valve

Lantai 5
Flushing pipa
Gate Valve dan
kelengkapan
Flow switch
Branch valve

Lantai 6
Flushing pipa
Gate Valve dan
kelengkapan
Flow switch
Branch valve

Lantai 7
Flushing pipa
Gate Valve dan
kelengkapan
Flow switch
Branch valve

Lantai 8
Flushing pipa
Gate Valve dan
kelengkapan
Flow switch
Branch valve

Kontraktor Pelaksana:
Nama:

Ttd:

Konsultan Pengawas:
Nama:

Ttd:

Pemberi Tugas:
Nama:

Tanggal pelaksanaan:

Ttd:

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